Scope of Work:Re-energize breaker for FACP (system 3), verify voltage on FACP power supply, verify voltage for battery charging current.
General Information
Work Order
Training
Building
75A
Person in Charge
Travis Ray
Lead / Supervisor
Other
Logged Email
tlray@lbl.gov
Division
Facilities
Work Planning
Modes of Work
☑ Mode 1 - LOTO & Zero Voltage Verification ☑ Mode 2 - Energized Diagnostics ☑ Testing and Troubleshooting ☑ Visual Inspection
QEW Level
QEW 1
Second Person Requirement
Not Required
Second Person Identified
NA
Other Participants
NA
Affected Persons Notified
N/A
System / Equipment
Switching
Non-Hazardous Switching
Panel / Equipment ID
FACP system 3, breaker234a
System Information Review
☑ Arc Flash Labels ☑
Control of Hazardous Energy
LOTO Not Required (Mode 2 or 3 only)
Equipment Condition
☑ Properly installed ☑ No signs of impending failure
Sequence of Job Steps
List basic sequence of steps from start to finish
Identify breaker for FACP, switch Breaker, verify voltage.
Control of Work Area
Minimum Approach Boundary
42”
Barricade Tape / Attendant
Danger - Red
Shock Risk Assessment
System Voltage
120 Vac
Limited Approach Boundary
42 inches
Restricted Approach Boundary
3 inches
Will the hands enter the RAB
Yes
Voltage Glove Class
0
Will any other part of the body enter the RAB
No
Arc Flash Risk Assessment
Incident Energy
1.2 cal/cm 2 cal/cm2
Arc Flash Boundary
None
Working Distance
No Arc Flash Hazard Present
Arc Flash PPE Level
Minimum PPE for Electrical Work
Incident Energy Reduction Measures
0
Capacitor Hazards
Capacitor Bus Voltage
None
Capacitor Total Stored Energy (Joules)
None
Discharge Wait Time (Minutes)
NA
Emergency Response Plan
Nearest Landline Location
75
Emergency Number to Call
911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
Ext to FACP
Fire Extinguisher Location
Outside back exit at 85a
Contact Release Method Available and Tested
Voltage gloves
Environmental Conditions
Does the environment present additional hazards that should be addressed?
None
Error Precursors
Task Demands
Time pressure (in a hurry)
Work Environment
Individual Capabilities
Human Nature
Error Precursor Mitigations
Follow iSM
PPE Inspections
☑ Safety glasses (ANSI Z87) ☑ Rubber insulating gloves and leather protectors ☑ Non-melting footwear that fully covers the feet ☑ Removal of conductive articles ☑ Multimeter and other electrical test instruments
Notes / Other
Perform Job Briefing
PIC Conducts the Job Briefing. Cover all the contents of the Job Safety Plan.
A Job Briefing at a minimum must include:
Detailed Scope of Work
Shock and arc flash hazards for each task
Controls to mitigate the hazards (procedures, precautions, energy source controls, PPE requirements)
Work area controls (barricades, signs, attendants)
